This clinical trial will explore the safety and effect of GCSF-mobilized autologous ex vivo selected CD34 cells for the treatment of CMD in adults currently experiencing angina and with no obstructive coronary artery disease. Eligible subjects will receive a single intracoronary infusion of CLBS16.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
GCSF-mobilized autologous CD34 cells
Cedars-Sinai Medical Center
Los Angeles, California, United States
Mayo Clinic in Rochester
Rochester, Minnesota, United States
Change From Baseline in Coronary Flow Reserve
Coronary Flow Reserve (CFR) is a measure of coronary microvascular function.
Time frame: Day 180
Change From Baseline in Microvascular Function as Assessed by Intracoronary Administration of Acetylcholine
Time frame: Day 180
Change From Baseline in Peripheral Arterial Tonometry
Time frame: Day 180
Change in Angina Frequency From Baseline
Time frame: 6 months
Canadian Cardiovascular Society Angina Class
Canadian Cardiovascular Society angina class grading scale is assessed according to the following scores: Grade 1: Ordinary physical activity does not cause angina, such as walking and climbing stairs. Angina with strenuous or rapid or prolonged exertion at work or recreation Grade 2: Slight limitation of ordinary activity. Walking or climbing stairs rapidly, walking uphill, walking or stair climbing after meals, or in cold, or in wind, or under emotional stress, or only during the few hours after awakening. Walking more than two blocks on the level and climbing more than one flight of ordinary stairs at a normal pace and in normal conditions Grade 3: Marked limitation of ordinary physical activity. Walking one or two blocks on the level and climbing one flight of stairs in normal conditions and at normal pace Grade 4: Inability to carry on any physical activity without discomfort, anginal syndrome may be present at rest A higher grade is a worse outcome.
Time frame: 6 months
Change From Baseline in Seattle Angina Questionnaire
The SAQ quantifies patients' physical limitations caused by angina, the frequency of and recent changes in their symptoms, their satisfaction with treatment, and the degree to which they perceive their disease to affect their quality of life. Each scale is transformed to a score of 0 to 100, where higher scores indicate better function (eg, less physical limitation, less angina, and better quality of life).
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Time frame: 6 months
Change From Baseline in SF-36 Scores
The Short Form (36) Health Survey is a 36-item, patient-reported survey of patient health. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability.
Time frame: 6 months